CRAT pt care
Patients should avoid when using ambulatory monitor
Electric blankets and getting x-rays done
HIPPA
Health Insurance Portability and Accountability Act
Consequences of breaking HIPPA
Penalty, fine, disciplinary action/ termination of employment, possible jail time
term ambulating mean
Walking
airbone precautions
air handling vents, respiratory protection
Authorization
allows for PHI to be disclosed outside of treatment, payments or business operations
consent
allows the PHI to be used for treatment, payments or business operations.
Pts permission to patient health information
always make sure you have permission to disclose information to family members
most appropriate place to patch cardiac monitor
center of chest mid sternum
The single most important thing you can do to prevent spread infection while performing ecg
proper hand hygiene
obtaining consent when patient cannot write
pt has to mark an X on the signature line. There must be a witness
Give the pt time for
questions on the procedure or questions
implied consent
says yes verbally to doctor
prepare pt for electrode placement
shave hair from electrode site, rub alcohol swab, dry , snap side up
Slander
spoken defamation
CDC 2 levels of precaution
standard precautions and isolation precautions
Occupational safety violation example
technician offers to deliver new electrode patches to a pt's home after work
Vital signs include
temperature, pulse, respiration, blood pressure pain assessment
what time of monitor is used/required for 30 days?
transtelephonic monitoring
Signs and symptoms a pt will have when experiencing ventricular fibrillation
unsconsciousness apnea and no pulse
contact precations
wear gloves and gowns
Libel
written defamation
introduce
your name, title, ordering physician, test that will performed and duration
how long should a stress be performed for
7 to 10 to receive 85% of maximum HR
how long must the ecg be part of medical record
7 years
Nails must be
1/4" or shorter; avoid artificial nails
HIPPA regulations
2 forms of identification for pts, report HIPPA violations. Under HIPPA the pt has the right to receive notice of privacy practices, copies .
exercise stress test
40w women - 15 w increase, 50w men -15-30 w
What information should be included in the ecg requisition
Location, date, time of recording
ICD-10 code
diagnostic code used by the billing department
When using an ambulatory post event make sure to
ensure all 4 electrodes pressed firmly center of the sternum
If pt is sedated
explain procedure to family members with out disclosing any medical information about the pt
medical professional liability
healthcare professionals are legally responsible for their performance
When applying chest electrodes on pt with large breast you must :
lift the breast and place the electrodes in the closest position possible
Doplet
mucous membrane protection (goggles and mask)
verify that you have the correct pt
name, dob, id/mrn or ssn
